Transcription

1 First-year Application For Spring 2013 or Fall 2013 Enrollment APPLICANT Legal Name Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Preferred name, if not first name (only one) Former last name(s) Birth Date Female Male Preferred Telephone Home Cell Address US Social Security Number, if any Required for US Citizens and Permanent Residents applying for financial aid via FAFSA Home ( ) Cell ( ) IM Address Permanent home address Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code If different from above, please give your current mailing address for all admission correspondence. (from to ) () () Current mailing address Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code If your current mailing address is a boarding school, include name of school here: FUTURE PLANS Your answers to these questions will vary for different colleges. If the online system did not ask you to answer some of the questions you see in this section, this college chose not to ask that question of its applicants. College Entry Term: Fall (Jul-Dec) Spring (Jan-Jun) Decision Plan Academic Interests Career Interest Citizenship Status Non-US Citizenship(s) _ Birthplace City/Town State/Province Country Years lived in the US? Years lived outside the US? Language Proficiency (Check all that apply.) S(Speak) R(Read) W(Write) F(First Language) H(Spoken at Home) S R W F H Optional The items with a gray background are optional. No information you provide will be used in a discriminatory manner. Religious Preference US Armed Services veteran status DEMOGRAPHICS Deadline Do you intend to apply for need-based financial aid? Yes No Do you intend to apply for merit-based scholarships? Yes No Do you intend to be a full-time student? Yes No Do you intend to enroll in a degree program your first year? Yes No Do you intend to live in college housing? What is the highest degree you intend to earn? 1. Are you Hispanic/Latino? Yes, Hispanic or Latino (including Spain) No If yes, please describe your background. 2. Regardless of your answer to the prior question, please indicate how you identify yourself. (Check one or more and describe your background.) American Indian or Alaska Native (including all Original Peoples of the Americas) Are you Enrolled? Yes No If yes, please enter Tribal Enrollment Number Asian (including Indian subcontinent and Philippines) Black or African American (including Africa and Caribbean) Native Hawaiian or Other Pacific Islander (Original Peoples) White (including Middle Eastern) AP-1 /

2 FAMILY Please list both parents below, even if one or more is deceased or no longer has legal responsibilities toward you. Many colleges collect this information for demographic purposes even if you are an adult or an emancipated minor. If you are a minor with a legal guardian (an individual or government entity), then please list that information below as well. If you wish, you may list step-parents and/or other adults with whom you reside, or who otherwise care for you, in the Additional Information section. Household Parents marital status (relative to each other): Never Married Married Civil Union/Domestic Partners Widowed Separated Divorced (date ) With whom do you make your permanent home? Parent 1 Parent 2 Both Legal Guardian Ward of the Court/State Other If you have children, how many? Parent 1 Mother Father Unknown Is Parent 1 living? Yes No (Date Deceased ) Former last name(s) Preferred Telephone: Home Cell Work ( ) Parent 2 Mother Father Unknown Is Parent 2 living? Yes No (Date Deceased ) Former last name(s) Preferred Telephone: Home Cell Work ( ) Graduate School (if any) Graduate School (if any) Legal Guardian (if other than a parent) Relationship to you Preferred Telephone: Home Cell Work ( ) Graduate School (if any) Siblings Please give names and ages of your brothers or sisters. If they are enrolled in grades K-12 (or international equivalent), list their grade levels. If they have attended or are currently attending college, give the names of the undergraduate institution, degree earned, and approximate dates of attendance. If more than three siblings, please list them in the Additional Information section. AP-2 /

3 EDUCATION Secondary Schools Most recent secondary school attended Entry Date Graduation Date School Type: Public Charter Independent Religious Home School Address CEEB/ACT Code Number & Street City/Town State/Province Country ZIP/Postal Code Counselor s Name Counselor s Title Telephone ( ) Fax ( ) Number Ext. Number List all other secondary schools you have attended since 9 th grade, including academic summer schools or enrichment programs hosted on a secondary school campus: School Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) Dates Attended () Please list any community program/organization that has provided free assistance with your application process: If your education was or will be interrupted, please indicate so here and provide details in the Additional Information section: Colleges & Universities List all college/university affiliated courses you have taken since 9th grade and mark all that apply: taught on college campus (CO); taught on high school campus, excluding AP/IB (HS); taught online (ON); college credit awarded (CR); transcript available (TR); degree candidate (DC). College/University Name & CEEB/ACT Code Location (City, State/Province, ZIP/Postal Code, Country) CO HS ON CR TR DC Dates Attended Degree Earned If you indicated that a transcript is available, please have an official copy sent to your colleges as soon as possible. ACADEMICS The self-reported information in this section is not intended to take the place of your official records. Please note the requirements of each institution to which you are applying and arrange for official transcripts and score reports to be sent from your secondary school and the appropriate testing agencies. Where Best Scores are requested, please report the highest individual scores you have earned so far, even if those scores are from different test dates. Grades Class Rank Class Size Weighted? Yes No GPA Scale Weighted? Yes No (if available) (if available) ACT Exam Dates: Best Scores: (past & future) (so far) COMP English Math Reading Science Writing SAT Exam Dates: Best Scores: (past & future) (so far) Critical Reading Math Writing TOEFL/ Exam Dates: Best Score: IELTS (past & future) (so far) Test Score AP/IB/SAT Best Scores: Subjects (per subject, so far) Type & Subject Score Type & Subject Score Type & Subject Score Type & Subject Score Type & Subject Score Type & Subject Score Type & Subject Score Type & Subject Score Current Courses Please list all courses you are taking this year and indicate level (AP, IB, advanced, honors, etc.) and credit value. Indicate quarter classes taken in the same semester on the appropriate semester line. Full Year/First Semester/First Trimester Second Semester/Second Trimester Third Trimester or additional first/second term courses if more space is needed AP-3 /

4 Honors Briefly list any academic distinctions or honors you have received since the 9 th grade or international equivalent (e.g., National Merit, Cum Laude Society). S(School) S/R(State or Regional) N(National) I(International) Grade level or Honor Highest Level of post-graduate (PG) Recognition PG S S/R N I EXTRACURRICULAR ACTIVITIES & WORK EXPERIENCE Extracurricular Please list your principal extracurricular, volunteer, and work activities in their order of importance to you. Feel free to group your activities and paid work experience separately if you prefer. Use the space available to provide details of your activities and accomplishments (specific events, varsity letter, musical instrument, employer, etc.). To allow us to focus on the highlights of your activities, please complete this section even if you plan to attach a résumé. Grade level or post-graduate (PG) PG Hours per week Approximate time spent Weeks per year When did you participate in the activity? Summer/ School School year Break Positions held, honors won, letters earned, or employer If applicable, do you plan to participate in college? Activity Activity Activity Activity Activity Activity Activity Activity Activity Activity AP-4 /

5 WRITING Please briefly elaborate on one of your extracurricular activities or work experiences in the space below. Please write an essay of words on a topic of your choice or on one of the options listed below, and attach it to your application before submission. Please indicate your topic by checking the appropriate box. This personal essay helps us become acquainted with you as a person and student, apart from courses, grades, test scores, and other objective data. It will also demonstrate your ability to organize your thoughts and express yourself. NOTE: Your Common Application essay should be the same for all colleges. Do not customize it in any way for individual colleges. Colleges that want customized essay responses will ask for them on a supplement form. Evaluate a significant experience, achievement, risk you have taken, or ethical dilemma you have faced and its impact on you. Discuss some issue of personal, local, national, or international concern and its importance to you. Indicate a person who has had a significant influence on you, and describe that influence. A range of academic interests, personal perspectives, and life experiences adds much to the educational mix. Given your personal background, describe an experience that illustrates what you would bring to the diversity in a college community or an encounter that demonstrated the importance of diversity to you. Topic of your choice. Additional Information Please attach a separate sheet if you wish to provide details of circumstances or qualifications not reflected in the application. Describe a character in fiction, a historical figure, or a creative work (as in art, music, science, etc.) that has had an influence on you, and explain that influence. Disciplinary History Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9 th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution. Yes No Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? Yes No [Note that you are not required to answer yes to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.] If you answered yes to either or both questions, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and reflects on what you learned from the experience. Note: Applicants are expected to immediately notify the institutions to which they are applying should there be any changes to the information requested in this application, including disciplinary history. SIGNATURE Application Fee Payment If this college requires an application fee, how will you be paying it? Online Payment Will Mail Payment Online Fee Waiver Request Will Mail Fee Waiver Request Required Signature I certify that all information submitted in the admission process including the application, the personal essay, any supplements, and any other supporting materials is my own work, factually true, and honestly presented, and that these documents will become the property of the institutions to which I am applying and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree, should the information I have certified be false. I acknowledge that I have reviewed the application instructions for each college receiving this application. I understand that all offers of admission are conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based, as well as honorable dismissal from the school. I affirm that I will send an enrollment deposit (or equivalent) to only one institution; sending multiple deposits (or equivalent) may result in the withdrawal of my admission offers from all institutions. [Note: Students may send an enrollment deposit (or equivalent) to a second institution where they have been admitted from the waitlist, provided that they inform the first institution that they will no longer be enrolling.] Signature Date Common Application member institution admission offices do not discriminate on the basis of race, color, ethnicity, national origin, religion, creed, sex, age, marital status, parental status, physical disability, learning disability, political affiliation, veteran status, or sexual orientation. AP-5 /

First-year Application APPLICANT Legal Name Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Preferred name, if not first name (only one)

First-year Application APPLICANT Legal Name Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Preferred name, if not first name (only one)

APPLICANT Legal Name Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Preferred name, if not first name (only one) Former last name(s) Birth

First-year Application APPLICANT Legal Name Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc. Preferred name, if not first name (only one)

Mock College Application College Knowledge Activity Objective: To make mentees aware of exactly what they need to do in high school in order to be a competitive candidate for college. Also to show them

Cowles Hall, original building of Elmira College, renovated and reopened in Fall 2012 One Park Place Elmira, New York 14901 1-800-935-6472 www.elmira.edu Application for Admission ELMIRA COLLEGE Freshman

Lawrenceville and Princeton, New Jersey 2012-13 For Spring 2013 or Fall 2013 Enrollment Freshman Common Application Business Education Fine Arts, Music & Performing Arts (Westminster College of the Arts)

Graduate and Professional Programs APPLICATION The Mike Curb College of Entertainment & Music Business Applying for Admission Application Steps for Applicants: 1. Complete the entire application thoroughly.

universal college application college application First-Year Admissions Application First-Year Admissions Application This form is developed for, and is to be used by, the members of the Universal College

GET STARTED. 1 East Jackson Boulevard, Chicago, Illinois 60604-2201 Email: admission@depaul.edu Telephone: (312) 362-8300 SUPPLEMENT TO THE COMMON APPLICATION Instructions Students submitting the Common

Graduate and Professional Programs APPLICATION The Jack C. Massey Graduate School of Business Applying for Admission Application Steps for Accounting (MAcc), Accelerated, Healthcare and Professional MBA

universal college application First-Year Admissions Application This form is developed for, and is to be used by, the members of the Universal College Application. All members evaluate this form equally

Return to College Application Information for Return To College Applicants Completed application forms and the non-refundable $60.00 application fee, payable to Connecticut College, should be mailed to

UNDERGRADUATE ADMISSION APPLICATION Thank you for your interest in Westminster College. We review each application individually and take into consideration the quality of your academic preparation (including

Freshman Application for Admission APPLICATION INSTRUCTIONS Applicants are encouraged to apply early in their senior year. Admission to Albright is on a rolling, non-binding basis. This means that applications

Candidate Profile The Candidate Profile is a biographical information form accepted by schools participating in the Gateway to Prep Schools. These schools are dedicated to simplifying the application process

TRANSFER AND ADULT UNDERGRADUATE APPLICATION FOR ADMISSION Inside this Booklet What You Need to Know... 1 Application for Admission... 3 College Official Recommendation... 7 Professor Recommendation...

Application for Admission ESTABLISHED 1919 We are delighted that you are interested in applying to Kentucky Christian University. The following information will assist you as you complete the application.

DRAKE LAW SCHOOL APPLICATION FOR ADMISSION Master of Jurisprudence (M.J.) Program (Applicant must have a bachelor s degree or foreign equivalent) Application Instructions DOMESTIC STUDENT M.J. APPLICATION

Application Instructions CHECKLIST Completed Application Form $35 Application Fee or Fee Waiver Form Official High School Transcript Official ACT and/or SAT Scores, if applicable Official College Transcripts,

DIRECTIONS FOR APPLYING WISCONSIN LUTHERAN COLLEGE 1. Clearly print the information requested in black or blue ink as completely and accurately as possible. Return the completed form and $20 application

Go to www.daemen.edu/admissions APPLY ONLINE TODAY! UNDERGRADUATE ADMISSIONS APPLICATION Please complete all four pages. Personal Data (please print) Last Name First Name Middle or Maiden Name Preferred

Official Paul Quinn College Application for Admission APPLICATION CHECKLIST This is your invitation. Show us who you are, and we ll show you what we re all about. Applying to PQC is a lot like it is at

APPLICATION FOR ADMISSION TO MBA PROGRAMS APPLICATION CHECK LIST As you complete the application process, it may be useful to keep a record of the compiled materials. Please use this check list for your

Graduate School of Social Work and Social Research APPLICANT Legal Name: (Enter name exactly as it appears on offical documents.) LAST/FAMILY/SURNAME FIRST MIDDLE Preferred name, if not first name: Former

PHONE (803) 705-4527 Office of International Programs MSC 677, 1600 Harden Street, Columbia, SC 29204 International Student Application for Admission Complete this application and submit it with all the

Summer Writing & Film Application 12 Highland Street Natick, MA 01760 508.650.5020 Applicants to the Summer Writing and Film program at Walnut Hill School for the Arts are required to submit information

Application for Graduate Business Programs MADDEN SCHOOL OF BUSINESS Le Moyne College MADDEN SCHOOL OF BUSINESS GRADUATE PROGRAMS Instructions for Application Completion A graduate business program candidate

Application, nonrefundable application free, letters of evaluation, transcripts, and course descriptions must submitted to our office no later than February 1. This application should be completed in legible

Information for Non-Degree Applicants Fall 2015 and Winter 2016 Terms only Use this application for Non-Degree application to the following Schools and Colleges: College of Literature, Science, and the

Application for Admission 2010-2011 At Randolph College, we engage the intellects, passions, and dreams of young men and women so that they may live meaningfully in a world that grows more complex every

Application for Admission Salem, Oregon Atkinson Graduate School of Management You may use this application form to apply for admission or you may apply online at www.willamette.edu/mba Note: We encourage

Application for Undergraduate Admission International Students admission.marietta.edu Note: This application is intended for persons seeking/possessing F-1 student visa status and other visa categories.

Information for Students Seeking Re-Admission to Meredith College All students applying for re-admission must submit an application with the Office of Admissions. Return your completed application by mail,

Application for Graduate Admission Department of Education SCHOOL OF GRADUATE AND PROFESSIONAL STUDIES Le Moyne College Instructions for Application Completion A graduate education program candidate may

Instructions You may You apply may apply for admission for admission online online at at wp.missouristate.edu/admissions/applynow.htm www.wp.missouristate.edu/admissions/applynow.htm Use of this Form We

Application for Admission LL.M. in International Legal Studies American University Washington College of Law INSTRUCTIONS If you have any questions please contact us at llm@wcl.american.edu before completing

ENTRANCE AND APPLICATION REQUIREMENTS MASTER OF STUDIES IN LAW IN INTELLECTUAL PROPERTY (M.S.L.-IP) The degree of Master of Studies in Law in Intellectual Property (M.S.L.-IP) is designed for non-lawyer

Application for Graduate Admission Department of Education Educational Leadership Programs Master of Science Certificate of Advanced Study SCHOOL OF GRADUATE AND PROFESSIONAL STUDIES Instructions for Application

TRANSFER STUDENT APPLICATION HOW TO APPLY TO WESLEYAN COLLEGE This application may be used by transfer students to apply for the undergraduate degree program at Wesleyan College. Applications are accepted

School of Health Sciences RN to BS Degree Program Application Checklist In order to complete your application, the following items must be received by the RN to BS Office prior to the program s published

General Instructions: With the exception of GRE scores, all application materials, including letters of reference that have been sealed and signed across the back, should be mailed in one package to: School

ADMISSION PROCEDURE TO THE GRADUATE DIVISION The Graduate Division offers curricula leading to degrees of Master of Arts, Masters of Science, Master of Education, and Specialist in Education. Admission

Application for Graduate Admission Application Process St. John Fisher College operates on a rolling admission basis. Applications are reviewed as they are received and admission decisions are made within

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Bachelor s Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

... Visiting Student Application Office of Admission Office of Admission... Information on Visiting Student Status Application Information Each year admits a limited number of visiting women students who

Updated 01.22.14 Doctor of Pharmacy (Pharm. D.) Transfer Student Application Doctor of Pharmacy (Pharm. D.) Transfer Student Application This application is for students interested in transferring to the

ElonMBA www.elon.edu/mba gradadm@elon.edu everything you need to know about applying Admission Schedule The Elon MBA enrolls cohorts each September and March. Applications are evaluated on a rolling basis

Florida State University College of Law LL.M. to J.D. Transfer Program Applicant Checklist and Application Admission to the J.D. Program will be based on the student s outstanding performance in the LL.M.

INSTRUCTIONS FOR INTERNATIONAL EXCHANGE STUDENTS APPLYING TO HOBART & WILLIAM SMITH COLLEGES We are so pleased to learn of your interest in HWS, the Hobart and William Smith Colleges community, located

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Accelerated Masters Program for Non-Nurses Web Page Address: www.son.rochester.edu Thank you for your interest in the University of Rochester School of Nursing.

NON-DEGREE STUDENT APPLICATION PROCESS Thank you for your interest in taking classes as a non-degree student at St. Mary s College of Maryland. Individuals who wish to take a limited number of credit classes